Participant Information Form

Please complete this special needs form after your registration has been received.

Please note that we are at capacity for crib requests.

Name

First Name

Last Name

Do you have any food allergies or restrictions?

Please inform us no later than Friday, September 20.

Do you need a private mini fridge?

Limited number available on a first-come, first-served basis. Rental fee is $5/day, payable on-site. Communal fridges are also available for public use.

I have a medical need, supplies or medication that require refrigeration

I have a child whose food that requires refrigeration.

Both

None of the above

Do you require babysitting services

While we cannot guarantee baby sitters at this time, we will do our best to accommodate your request.

Yes

Do you require an ADA accessible room?

Yes

Do you have any roommate preferences?

Are there any other needs or concerns we should address prior to your arrival?

Participant Information

Participant Information Form

Please complete this special needs form after your registration has been received.

The Zawiyah North America